Individual
ALYS GUTTENPLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
460 5TH ST APT 2E, HOBOKEN, NJ 07030-2636
(917) 204-9377
Mailing address
460 5TH ST APT 2E, HOBOKEN, NJ 07030-2636
(191) 720-4937
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
004442
NY
171100000X
Acupuncturist
Primary
25MZ00105600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004442
ACUPUNCTURE LICENSE
NY
Enumeration date
01/24/2013
Last updated
02/16/2021
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